Active NPI
Connect Counseling LLC
- Clinical Social Worker
- Gulfport, MS
National Provider Identifier
1356239339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CONNECT COUNSELING LLC
- Practice address
- 10229 Orchid Magnolia Dr
Gulfport, MS 39503-9521 - Phone
- (228) 623-3739
- NPI assigned
- Jun 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Wills
- Title
- Owner
- Phone
- (228) 623-3739
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
10229 Orchid Magnolia Dr
Gulfport, MS 39503-9521
Mailing address
10229 Orchid Magnolia Dr
Gulfport, MS 39503-9521
Phone (228) 623-3739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1356239339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10229 ORCHID MAGNOLIA DR",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395039521",
"telephone_number": "228-623-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10229 ORCHID MAGNOLIA DR",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395039521",
"telephone_number": "228-623-3739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECT COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "WILLS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-623-3739"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.